Individual
MRS. VICKIE ANN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN AND LAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
793
LA
163W00000X
Registered Nurse
Primary
RN056527
LA
Other
Enumeration date
07/04/2006
Last updated
07/09/2008
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